Admission Application – Sacred Heart Junior College

Sacred Heart Junior College Admissions Form

Welcome to Sacred Heart Junior College. Please take your time and carefully complete your Application form. If you have any questions, please do not hesitate to contact us at admissions@shc.edu.bz.

of G Insurance

Prospective High School Graduate - Students that will graduate from High School.

High School Graduate - Students that have graduated from High School.

Transfer Student - Students who transfer from another Junior College.

Transient Student - Student can take any specific course (transfer to another institution)

Please indicate if you are:

Prospective High School Graduate
High School Graduate
Transfer

Banking Information

Note:

Application fee payment information is required before proceeding. Application fee is non-refundable.Payment can be done online using the school's bank account numbers.

Atlantic Bank - #100158632
Belize Bank - #121666010120001

Beneficiary Name: Sacred Heart College

Section A - Personal Information

General Instruction: Please provide the information requested.

Name

First

Middle

Last

If Foreign National

Address Line 1

City

State / Province / Region

Country

Employment Status

Are you employed?

Section B - Health Concerns & Emergency Contact

Please specify any chronic ailment that you suffer from or special needs that SHJC may need to be aware of.

Complete Name of Contact Person

First

Middle

Last

Relationship with Applicant

Address

Address Line 1

City

State / Province / Region

Country

Phone

Email

Section C - Academic Information

Educational Institution Attended

Name of the school you previously attended

Date Started

Date Completed

Degree Obtained

Did you sit ATLIB examination?

Yes
No

ATLIB Examinations valid for 5 years only

Section D - Program Options

What degree do you want to do at SHJC?

Associate Degree
Associate Degree (Double Major)
Certificate Degree

Section E - Certification

I hereby certify that all the information that I have provided is true and accurate to the best of my knowledge. I understand that the processing of this application may be delayed until all necessary documentation is provided. I also understand that any deliberate falsification of official document (s) or omission of any relevant information may result in denial of admission or dismissal. If I am admitted to SHJC, I agree to abide by all the college’s policies and regulations.

Checkboxes

I agree

Name of Applicant

Affix your name in the space provided to acknowledge that you have read this certification

Name of Parent/Guardian

If you are a minor(individual under the age of 18) kindly provide the name of aparent

Section F - Information Release Agreement - Policy on Disclosure

To be completed by applicants who are 18 and older. The college will not release personal information contained in a student’s permanent records except if the student has provided written consent. The College reserves the right to disclose certain “personally identifiable” information from a student’s permanent record without the student’s consent. Such information is outlined as the student’s name and address, date and place of birth; program major; participation in extra curricular activities sponsored by the College; dates of attendance; degrees, awards and certificates; and the most recent previous educational institution attended.

I hereby, (authorize/do not authorize) Sacred Heart Junior College to release information regarding my grades, disciplinary record to my parents / guardians / spouse. Upon signing this release form, I understand that my granting this authorization will enable the College to disclose private information about my grades, class attendance, enrollment status and disciplinary record.

Multiple Choice

Authorize
Do not authorize

Name of Parent/Legal Guardian

Relationship

Relationship to the Applicant

Section G - Insurance Beneficiary Information

Every student who is registered at Sacred Heart Junior College is covered by SHJC’s accident insurance plan with the Insurance Corporation of Belize ICB. The insurance covers students twenty-four hours a day and seven days a week as long as they are registered at SHJC. Students are covered whether they are on campus or at home, traveling to and from school and especially on class trips.

Name of the beneficiary

First

Middle

Last

Relationship to the applicant

Contact Number - 1

Social Security Number

Beneficiary's Social Security Number

Contact Number - 2

Address

Address Line 1

City

State / Province / Region

Country

Section H - Documentation

Kindly upload the following items in PDF or image formats. Please note that incomplete applications will not be processed.

1. 2 Letters of Recommendation

2. Copy of Social Security Card

3. Diploma/Certificates

4. Proof of Payment

File Upload

Drag & Drop Files, Choose Files to Upload